Lookup NPI Numbers from the NPI Registry
NPI Profile for ELISHA M WATERS in PORTLAND, OR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X |
| NPI # | 1104042647 |
|
| Status | Active | |
| Credentials | BA, CADCI | |
| Entity | Individual | |
| Enumeration date | 04/17/2007 | |
| Last updated | 03/18/2010 - About 16 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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ELISHA M WATERS
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ELISHA M WATERS, BA, CADCI